| NPI | 1619328499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A197590) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2016020262) |
| 207Y00000X Otolaryngology (Licence: PA MD481433) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-10-11 |